A lie can make it halfway around
the world before the truth can even get its boots on. Mark
Twain

Saturday

Early on Saturday morning, the 29th of August,
I was hauled down to the basement of the hospital for what I
was told were, "some more X-rays." I was a little surprised
by this since we had arrived with a full set of X-rays and CAT
scans of all my injuries. We met the person I was later to discover
was Dr. Karlson for the first time in the X-ray room. He was
dressed in street clothes and was not wearing an ID badge that
I could see. He did not introduce himself or explain who he was.
I thought he was the weekend covering radiologist; my husband
thought he was one of the residents.

Keep in mind that in addition to the broken
leg, shattered elbow, head injury, and broken face and nose,
I had a broken neck and back, including fragments of my C1/C2
joint that had broken off and slipped into the space where the
vertebral artery passes. Dr. Karlson insisted that I remove my
Aspen collar and lie down flat on an unpadded X-ray table so
that he could take some more X-rays of my neck. When I protested
that I was too dizzy, too nauseous, and in too much pain to lie
flat, and that I had been warned by a neurosurgeon not to remove
my collar, Dr. Karlson sent my husband out of the room and then
advanced upon me, ripped the collar off my neck, and while I
was screaming in fear and pain, pushed me down onto the unpadded
X-ray table.

In response to my screams, Dr. Rivkin came pounding
into the room right after this, with my husband on his heels,
as I continued screaming, "Im falling, Im falling!"
Dr. Rivkin told Dr. Karlson that patients with head injuries
often feel they are falling with a sudden change of position.
Once I saw there was another doctor in the room, I begged Dr.
Rivkin, "Get him away from me, get him away from me,"
and Dr. Rivkin led Dr. Karlson away to another part of the room.
With my husband and Dr. Rivkin there to supervise the rest of
the X-ray session, I felt safe enough to let the technician finish
the series.

Dr. Rivkin walked me (on a gurney) out of the
room and down the hall, while performing a low-key mini-neurological
exam on me, then told us hed see us upstairs in my room.

Once I returned to my room, I felt safer. Since
neither my husband nor I knew that Dr. Karlson was my attending
physician, we assumed we would never see him again.

Later, I had a cordial and helpful visit from
Dr. Rivkin, and cheered up again.

Suddenly, Lampros Minos, whom we knew as Dr.
Minos, appeared in my room, saying he had some forms for me to
sign. These, it turned out, were consent forms for my elbow surgery
and the surgeon listed on the sheet was Dr. Karlson. Stunned,
I gawped at Minos as he explained that I would need to agree
to general anesthesia, a bone graft and to allow Dr. Karlson
to "advance my triceps", which would mean that I would
never be able to bend my left arm all the way again. As I continued
to gawp at Lampros Minos, he began to get even more nervous than
he had been before. Minos attempted to make a clumsy and inaccurate
drawing of my elbow joint, but had difficulty rendering the picture.
Finally, at a break in his monologue I asked him, "this
Dr. Karlson, is he the guy from the X-ray room?" Minos said
yes. After a quick glance at my husband to confirm that we were
both on the same page about this, I told Minos quietly and politely,
"I refuse to have this surgery with this surgeon."

Lampros Minos lost it immediately. He began
flapping his arms, waving paperwork in my face as I lay in my
bed and berating me, "What are you going to do? Are you
going to leave the hospital? Where do you think youre going?"
I was as baffled by his reaction as I could be. Why would he
assume I was leaving the Baptist just because I refused to let
James Karlson operate on me? The place was full of orthopedists.

This was my first warning that once I
had refused to be operated on by a physician from ProSports Orthopedics
I was forfeiting my right to receive medical care there at all,
despite how injured I was. In my innocence and optimism, I thought
that another doctor at the Baptist would be willing to performing
my surgery, or that I would at the very least be permitted to
transfer to another hospital. Little did I know.

I was at that time a flexible and adaptable
person, and I partly got over the shock of discovering that I
had been headed for surgery with an abusive automaton who did
not seem to understand that I had a broken neck. In the early
afternoon, I received a visit from the two spine guys, Dr. Parazin
and Dr. Jenis. Dr. Parazin was a big, bluff, friendly guy and
Dr. Jenis was friendly also. They examined my neck and back in
detail, looked at my X-rays and CAT scans, gave me advice, and
arranged for me to get a second neck brace that wouldnt
dig into the bruise and contusion on the back of my head as much
as the one I was wearing.

A little while after they left, a very young
nervous-looking nurse came into my room. I had never seen her
before, and no, I never saw her again after this incident. She
was carrying a bowl with some instruments in it. I asked her
why she had come. She said she had been sent by Dr. Karlson to
remove my bladder catheter. Both my husband and I found this
surprising, to say the least, since I had no sense of balance,
could not even sit up straight in bed without flopping over randomly
to one side or the other, could not use crutches because of my
unrepaired broken elbow, and could not walk more than a few steps.
Since my teeth were all broken and my throat was swollen, I was
living entirely on liquids. "She cant walk,"
my husband said to the nurse. "How is she supposed to go
to the bathroom?" The nurse replied that perhaps I could
use a bed pan. "My neck is broken," I replied, "and
my back, as well as one leg and one arm. How am I supposed to
do that?" I asked her. She replied that she didnt
know, "but these are Dr. Karlsons orders, and I have
to follow them." She did not look happy when she said this,
and she made no attempt to talk me into allowing her to remove
the catheter.

One of the things I had learned during my days
in the ICU in Idaho Falls is that The Nurses Know Everything.
They have ways of informing you, subtly, about what as a hospital
patient is a good idea or not. Even with a head injury, I could
tell from her expression that she thought this was a bad idea,
too.

I told her, "Well, I refuse to have my
catheter removed, and tell Dr. Karlson that I want to speak to
him about this." She smiled for the first time since she
came into my room, sagged a little with relief and left much
happier than when she entered. I never saw her again.

This attempt to remove my bladder catheter
struck both my husband and myself at the time as an act of retaliation
on Dr. Karlsons part and we have never learned anything
in the intervening time to change our opinion of this incident.
Dr. Karlsons attempt to have my bladder catheter removed
was never recorded in my medical record at all. Dr. Karlson's
attorney later denied that he ever tried to have my bladder catheter
removed. By the time of the depositions, though, after we had
considered hiring a private detective to find this nurse, Dr.
Karlsons story had changed, and he subsequently swore that
he did not recall if he had ordered my bladder catheter removed.

This was the third scary thing that had happened
to me that day, and it was only mid-afternoon. I never really
felt safe again after this incident. We waited and waited to
hear from Dr. Karlson as we had requested, but we did not hear
from him or see him at all for the rest of the day. Even though
he was my attending physician, Dr. Karlson never examined me
that day or any other day. The pain assesment performed that
day showed that my pain was not being managed adequately, but
neither Lampros Minos or Dr. Karlson changed or increased my
pain medication. The pain medication orders written up by Lampros
Minos were not for enough pain medication to keep me even somewhat
comfortable once the Demerol I had gotten the day before fully
wore off.

That night, I awoke screaming in fear and utterly
disoriented. I had been having a nightmare that Dr. Karlson was
choking me to death with his hands. Though this incident is recorded
in the nursing logs, no one wrote down the contents of my nightmare
or otherwise acted on this incident. I never had nightmares when
I was in Idaho and I never had them in any hospital after I left
the Baptist, either.